Individual provider Active NPI

Jean Emil Betancourt Vieta, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1609362144
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9332807 Issued in FL
Practice address
1150 NW 14TH St Ste 309
Miami, FL 33136-2114
Phone
(305) 243-4562
Fax
(305) 243-3381
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9332807 FL
Family Nurse Practitioner 363LF0000X 9332807 FL
Nurse Practitioner 363L00000X APRN9332807 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 309
Miami, FL 33136-2114

Mailing address

445 NW 4TH St Apt 1001
Miami, FL 33128-1704
Phone (786) 419-2166

Other names 1

  • Jean Emil Betancourt Vieta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220001801 FL Practitioner - Nurse Practitioner 6305184128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9332807FLMDNurse Practitioner
9332807FLMDFamily Nurse Practitioner
RN9332807FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1150 NW 14th St
Ste 309
Miami, FL 33136
Phone (305) 243-4562

Interoperability endpoints

  • Direct secure messaging: bjean52810@direct.med.miami.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1609362144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 NW 4TH ST APT 1001",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281704",
            "telephone_number": "786-419-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362114",
            "telephone_number": "305-243-4562",
            "fax_number": "305-243-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT VIETA",
        "first_name": "JEAN",
        "middle_name": "EMIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9332807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9332807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9332807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "BETANCOURT VIETA",
            "middle_name": "EMIL",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.